NORTHERN UTAH ENDOSCOPY CENTER NPI 1902875669

NPI Information

  • NPI: 1902875669
  • Provider Name: NORTHERN UTAH ENDOSCOPY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Other Name: NORTHERN UTAH ENDOSCOPY CENTER, LLC
  • Address: 630 E 1400 N
    SUITE 100A
    LOGAN, UT
    ZIP 84341
  • Phone: (435) 787-0270

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NPI Details

NORTHERN UTAH ENDOSCOPY CENTER is an ambulatory surgical clinic center in Logan, UT. NORTHERN UTAH ENDOSCOPY CENTER NPI is 1902875669. The provider is registered as an organization entity type.
The provider Other Name Is Northern Utah Endoscopy Center, Llc.

The provider's business location address is:

630 E 1400 N
SUITE 100A
LOGAN, UT
ZIP 84341-534
Phone: (435) 787-0270
Fax: (435) 787-0262

The provider's authorized official is Duane Bohman .
The authorized official title is Member and has the following contact phone number (435) 787-0270.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 4/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical2006-ASF-16794UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========MEDICAIDUTAH
2490004876OTHERUTAHRAILROAD MEDICARE
32006-ASF-16794OTHERUTAHSTATE LICENSE
4806091700MEDICAIDIDAHO
5116023100MEDICAIDWYOMING
6000001067MEDICARE PINUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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